低压与标准压力肺膜在拉巴光学尾切除术:一个随机对照试验
A T Adenuga1, F Olakada2, C Ojo1
1Department of Surgery, Cedarcrest Hospitals, Abuja, Nigeria.
Nigerian journal of clinical practice
|June 29, 2024
概括
在腹腔镜尾切除术期间降低腹内压力并没有减少术后疼痛. 这项研究发现,低压和标准压力组之间的腹部或肩膀疼痛没有显著差异.
科学领域:
- 手术创新 在外科创新.
- 最少侵入性的手术
- 疼痛管理 疼痛管理
背景情况:
- 肺膜炎期间腹内压力升高可能会增加术后腹部疼痛.
- 腹腔镜尾切除术是急性尾炎的常见手术.
研究的目的:
- 为了比较经过低压后的术后腹痛与标准压力腹腔镜尾切除术.
- 为了评估肺关节压力对尾切除术后疼痛和恢复的影响.
主要方法:
- 这是一项前性,双盲,随机对照试验,涉及54名急性尾炎患者.
- 在腹腔镜尾切除术期间,患者被随机分配到低压 (9 mm Hg) 或标准压 (13 mm Hg) 肺关节.
- 评估了疼痛评分 (视觉模拟尺度),止痛需要,手术持续时间,并发症和住院时间.
主要成果:
- 在低压和标准压组之间,没有观察到腹部疼痛 (P = 0.86) 或肩膀疼痛 (P = 0.33) 的统计学上显著差异.
- 手术结果包括手术持续时间 (P = 0.51),并发症 (P = 0.17) 和住院 (P = 0.83) 在各组之间是相似的.
- 低压组中的三名患者需要转换为标准压力.
结论:
- 低压肺膜在腹腔镜尾切除术中没有有效地减少术后腹痛.
- 在低压或标准压力肺膜之间做出选择可以基于外科医生对急性尾炎治疗的经验.
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